Posted by linkadge on November 26, 2017, at 16:45:41
In reply to Everything is good, except for depression, posted by phidippus on November 25, 2017, at 14:39:32
Hmm. Have you tried Seroquel? It has a metabolite which acts as an antidepressant.
Mirtazpine is one of the meds which I almost found acted like a mood stabilizer. But, as SLS mentioned, you might need higher doses for depression.
The TCA surmontil may be less likely to induce mania, but it is VERY sedating (more so than mirtazapine, or doxepin). I don't know how good it is for depression, but it has a different mechanism (no monoamine reuptake).
Another med that might be worth looking into is amoxapine. It is an antidepressant with antipsychotic qualities:
https://en.wikipedia.org/wiki/Amoxapine
In theory (just guessing here) the d2 antagonism might provide some protection against mania (and may allow reduction of other antipsychotics).
I get help from vitamin D, omega-3 folic acid, niacin & magnesium, coffee, green tea and cocoa powder.
Linkadge
poster:linkadge
thread:1096046
URL: http://www.dr-bob.org/babble/20161215/msgs/1096075.html